Individual provider · Type 1 NPI
Lavette Goodman Graham, PMHNP-BC
Psychiatric/Mental Health Nurse Practitioner · Oak Park, IL
NPI number
1740915677
Active
Practice location
1133 South Blvd Apt 901
Oak Park, IL 60302-4279
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | 209.032017 (IL) |
| Psychiatric/Mental Health Registered Nurse | 163WP0808X | 041.472420 (IL) |
| Psychiatric/Mental Health Nurse Practitioner Primary | 363LP0808X | 309.023545 (IL) |
Psychiatric/Mental Health Nurse Practitioner: Definition to come...
Another provider at this address
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About NPI 1740915677
Lavette Goodman Graham, PMHNP-BC's National Provider Identifier is 1740915677, issued on Jul 24, 2022. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in Oak Park, IL. The record was last updated on Nov 29, 2025.